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Related Experiment Videos

Ligamentous posttraumatic ankle osteoarthritis.

Victor Valderrabano1, Beat Hintermann, Monika Horisberger

  • 1Human Performance Laboratory & Orthopaedic Department, University of Calgary, 2500 University Drive N.W., Calgary, Alberta, Canada, T2N 1N4. v.valderrabano@kin.ucalgary.ca

The American Journal of Sports Medicine
|November 24, 2005
PubMed
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Lateral ankle sprains from sports are the primary cause of posttraumatic ankle osteoarthritis, often leading to varus malalignment. Chronic instability may persist in end-stage ligamentous ankle osteoarthritis.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Ankle sprains are the most frequent sports-related injuries.
  • Ankle ligament injuries can lead to the development of ankle osteoarthritis.
  • The time between injury and osteoarthritis onset varies with ligament type and location.

Purpose of the Study:

  • To investigate the causes and characteristics of ligamentous end-stage ankle osteoarthritis.
  • To determine the latency period between ankle ligament injury and osteoarthritis development.
  • To explore correlations between ligamentous lesions, hindfoot alignment, and persistent instability.

Main Methods:

  • Retrospective case series analysis of 30 patients with end-stage ankle osteoarthritis.
  • Etiological, clinical, and radiological evaluations were performed.

Related Experiment Videos

  • Data included injury history, latency time, hindfoot alignment, and ankle arthritis grade.
  • Main Results:

    • Sports injuries caused 55% of ligamentous lesions, with soccer being prevalent.
    • Lateral ankle ligaments were most commonly injured (85%).
    • Mean latency to osteoarthritis was 34.3 years; single severe sprains had shorter latency than chronic lesions. Medial sprains had shorter latency than lateral sprains. Varus malalignment (52%) and persistent instability (52%) were common, correlating with chronic lateral instability.

    Conclusions:

    • Lateral ankle sprains are the primary cause of posttraumatic ankle osteoarthritis.
    • Varus malalignment is associated with end-stage ligamentous ankle osteoarthritis.
    • Persistent instability is a common finding in patients with end-stage ligamentous ankle osteoarthritis.